{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T08:32:37Z","timestamp":1770971557349,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2002,1,24]],"date-time":"2002-01-24T00:00:00Z","timestamp":1011830400000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2002,1]]},"abstract":"<jats:p> <jats:sc>BACKGROUND<\/jats:sc>\u2002A project to improve integrated control of schistosomiasis in the primary health care system of Northern Senegal was implemented from February 1995 until September 1999, shortly after a <jats:italic>Schistosoma mansoni<\/jats:italic> outbreak. The activities included additional training of doctors and nurses in symptom\u2010based treatment and making praziquantel (PZQ) available for an affordable price.<\/jats:p><jats:p> <jats:sc>OBJECTIVE<\/jats:sc>\u2002To investigate staff performance and the availability and costs of diagnostic materials and PZQ at the end of this intervention project.<\/jats:p><jats:p> <jats:sc>METHODS<\/jats:sc>\u2002We performed structured interviews with staff from 55 health care facilities in five districts.<\/jats:p><jats:p> <jats:sc>RESULTS<\/jats:sc>\u2002Respondents from 23 health care facilities reported both <jats:italic>S. haematobium<\/jats:italic> and <jats:italic>S. mansoni<\/jats:italic> in the coverage area, 32 reported only <jats:italic>S. haematobium<\/jats:italic> and three only <jats:italic>S. mansoni<\/jats:italic>. The average cost to patients for consultation, diagnosis, treatment and transportation to a referral health care facility was approximately 1.60 Euro. Fifty\u2010seven per cent of the health care facilities with reported <jats:italic>S. haematobium<\/jats:italic> in the coverage area treated patients presenting with haematuria on symptoms; 56% of the health care facilities with reported <jats:italic>S. mansoni<\/jats:italic> in the coverage area treated patients presenting with blood in stool on symptoms. Thirteen per cent performed a diagnostic test for patients presenting with haematuria and 12% for patients presenting with blood in stool. The remainder, approximately one\u2010third of the health care facilities, referred their patients to another facility for a diagnostic test. Implementation of symptom\u2010based treatment in all health care facilities will reduce the total costs by 0.43 Euro (29%) for patients infected with <jats:italic>S. haematobium<\/jats:italic> and 0.78 Euro (46%) for patients infected with <jats:italic>S. mansoni<\/jats:italic>. Of the 53 health care facilities with schistosomiasis in their area, 37 had PZQ in stock of which 33 (88%) sold PZQ for the recommended retail price of 0.15 Euro per tablet (or 0.60 Euro per course of four tablets) or lower.<\/jats:p><jats:p> <jats:sc>CONCLUSION<\/jats:sc>\u2002Four years after the start of the intervention project, patients presenting with schistosomiasis related symptoms can generally expect proper diagnosis and treatment at all levels of the health care system in Northern Senegal, either at the initial visited health care facility or after referral. However, a further reduction of the total costs of treatment is still possible by a better implementation of symptom\u2010based treatment and further reduction of the costs of PZQ.<\/jats:p>","DOI":"10.1046\/j.1365-3156.2002.00823.x","type":"journal-article","created":{"date-parts":[[2003,3,12]],"date-time":"2003-03-12T21:37:46Z","timestamp":1047505066000},"page":"70-79","source":"Crossref","is-referenced-by-count":16,"title":["Evaluation of staff performance and material resources for integrated schistosomiasis control in Northern Senegal"],"prefix":"10.1111","volume":"7","author":[{"given":"Marieke J.","family":"Van Der Werf","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amadou","family":"Mbaye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seydou","family":"Sow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Gryseels","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sake J.","family":"De Vlas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2002,1,24]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(98)91090-2"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.1998.00217.x"},{"key":"e_1_2_6_4_2","first-page":"249","article-title":"Urinary schistosomiasis in the Sahelian region of the Senegal River Basin","volume":"35","author":"Chaine JP","year":"1983","journal-title":"Tropical and Geographical Medicine"},{"key":"e_1_2_6_5_2","first-page":"349","article-title":"Primary health care: from aspiration to achievement","volume":"14","author":"Diallo I","year":"1993","journal-title":"World Health Forum"},{"key":"e_1_2_6_6_2","unstructured":"ErnouldJ\u2010C&BaK(1998)Epidemiologie des bilharzioses humaines. 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